Sociodemographic clinical aspects and quality of life in patients with rheumatoid arthritis
DOI:
https://doi.org/10.5020/2392Keywords:
Rheumatoid arthritis, Quality of life, Pain, Health Evaluation, Social Conditions.Abstract
Objective: To characterize the sociodemographic clinical aspects and quality of life of patients with rheumatoid arthritis (RA). Methods: This was a descriptive, cross-sectional quantitative research that evaluated 22 individuals with RA over 18 years old, regardless of sex. Participants were referred to the Mulstisectoral Analysis Laboratory of the State University of Santa Catarina by rheumatologists of the Brazilian National Health System in the period from June to September 2010. It was used a form to obtain sociodemographic and clinical data, the level of disease activity (Disease Activity Score 28) and the Quality of Life Questionnaire (36 Item Short-Form Health Survey). Results: There was a prevalence of female gender, with 81.8% (n=18); white ethnicity, with 90.9% (n=20); and sixth decade of life, with 60 (±12.9) years for male gender. Among the symptoms, 17 individuals (77.3%) reported pain as the main complaint. Regarding the level of disease activity, the mean values were 4.47±1.56 with a prevalence of 10 patients (45.5%) presenting moderate activity. Concerning QoL, it was found a significant difference in the domains pain / social aspect and the level of disease activity (p <0.05). Regarding the domain pain, there was a significant difference when comparing the groups high and low disease activity (p<0.01) and between the low and moderate groups (p <0.01). Conclusion: It was possible to identify in the individuals with RA participating in this study a deficit in their general state of health. Additionally, the high level of disease activity interfered with painful symptomatology and hindered social aspects. doi:10.5020/18061230.2014.p5Downloads
References
Aletaha D, Funovits J, Smolen JS. Physical disability in rheumatoid arthritis is associated with cartilage damage rather than bone destruction. Ann Rheum Dis.2011;70(5):733-9.
Senna ER, Barros AL, Silva EO, Costa IF, Pereira LV, Ciconelli RM, et al. Prevalence of rheumatic diseases in Brazil: a study using the COPCORD approach. J Rheumatol. 2004;31(3):594-7.
Centers for Disease Control and Prevention. Projected state-specific increases in self-reported doctordiagnosed arthritis and arthritis-attributable activity limitations United States, 2005-2030. MMWR Morb Mortal Wkly Rep. 2007;56(17):423-5.
Michaud K, Llonch V, Oster G. Mortality risk by functional status and health-related quality of life in patients with rheumatoid arthritis. J Rheumatol. 2012;39(1):54-9.
Ministério da Saúde (BR), DATASUS. Sistema de informações hospitalares do SUS (SIH/SUS):morbidade hospitalar do SUS por local de internação,Brasil [acessoem 2013 Set 23]. Disponível em: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sih/cnv/niuf.def.
Corbacho MI, Dapueto JJ. Assessing the functional status and quality of life of patients with rheumatoid arthritis. Rev Bras Reumatol. 2010;50(1):31-43.
Morris A, Yelin EH, Panopalis P, Julian L, Katz PP.Long-term patterns of depression and associations with health and function in a panel study of rheumatoid arthritis. J Health Psychol. 2011;16(4):667-77.
Mota LMH, Laurindo IMM, Santos Neto LL dos.Avaliação prospectiva da qualidade de vida em uma coorte de pacientes com artrite reumatoide inicial. Rev Bras Reumatol. 2010;50(3):249-61.
Ong KL, Wu BJ, Cheung BM, Barter PJ, Rye KA.Arthritis: its prevalence, risk factors, and association with cardiovascular diseases in the United States, 1999 to 2008. Ann Epidemiol. 2013;23(2):80-6.
Bianchi WA, Elias FR, Pinheiro GD, Gayer CR, Carneiro C, Grynzpan R, et al. Analysis of the association of fatigue with clinical and psychological variables in a series of 371 Brazilian patients with rheumatoid arthritis. Rev Bras Reumatol. 2014;54(3):200-7.
Carmona L, Cross M, Williams B, Lassere M, March L.Rheumatoid arthritis. Best Pract Res Clin Rheumatol.2010;24(6):733-45.
Arnett FC, Edworthy SM, Bloch DA, Mcshane DJ, Fries JF, Cooper NS, et al. The American rheumatism association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum.1988;31(3):315-24.
Prevoo MLL, Vanthof MA, Kuper HH, Vanleeuwen MA, Vandeputte LBA, Vanriel P. Modified diseaseactivity scores that include 28-joint counts - development and validation in a prospective longitudinal-study of patients with rheumatoid-arthritis. Arthritis Rheum. 1995;38(1):44-8.
Fransen J, Riel PLCM. DAS remission cut points. Clin Exp Rheumatol. 2006;24 (Suppl 43):29-32.
Fransen J, Visser K, Van Dongen H, Huizinga T, Van Riel PCM, Van De Heijd DM. Validity of the disease activity score in undifferentiated arthritis. Arthritis Care Res. 2010;62(10):1392-8.
Picavet HS, Hoeymans N. Health related quality of life in multiple musculoskeletal diseases: SF-36 and EQ-5D in the DMC3 study. Ann Rheum Dis. 2004;6(6):723-9.
Walker JG, Littlejohn GO. Measuring quality of life in rheumatic conditions. Clin Rheumatol. 2007;26(5):671-3.
Ciconelli RM, Ferraz MB, Santos W, Meinão I,Quaresma MR. Tradução para a língua portuguesa e validação do questionário genérico de avaliação deReumatol. 1999;39(3):143-50.
Louzada Júnior P, Souza BDB, Toledo RA, Ciconelli RM. Análise descritiva das características demográficas e clínicas de pacientes com artrite reumatóide no estado de São Paulo, Brasil. Rev Bras Reumatol.2007;47(2):84-90.
Mont’Alverne ARS, Barbieri R, Montenegro RM, Anti SMA, Giorgi RDN, Chahade WH. Artrite Reumatoide no idoso: estudo de 35 casos. Geriatria Gerontol. 2011;5(3):159-62.
Abreu MM, Kowalski SC, Ciconelli RM, Ferraz MB. Avaliação do perfil sociodemográfico, clínicolaboratorial e terapêutico dos pacientes com artrite reumatóide que participaram de projetos de pesquisa na Escola Paulista de Medicina, nos últimos 25 anos.Rev Bras Reumatol. 2006;46(2):103-9.
Kojima M, Kojima T, Ishiguro N, Oguchi T, Oba M, Tsuchiya H, et al. Psychosocial factors, disease status,
and quality of life in patients with rheumatoid arthritis.J Psychosom Res. 2009;67(5):425-31.
Barnabe C, Xiong J, Pope JE, Boire G, Hitchon C,Haraoui B, et al. Factors associated with time to diagnosis in early rheumatoid arthritis. Rheumatol Int. 2014;34(1):85-92.
Sokka T, Häkkinen A, Kautiainen H, Maillefert JF, Toloza S, Hansen TM, et al. Physical inactivity in patients with rheumatoid arthritis: Data from twentyone countries in a cross-sectional, international study.Arthritis Rheum. 2008;59(1):42-50.
Azevedo AB, Ferraz MB, Ciconelli RM. Indirect costs of rheumatoid arthritis in Brazil. Value Health.2008;11(5):869-77.
Bagatini F, Blatt CR, Maliska G, Trespash GV, Pereira IA, Zimmermann AF, et al. Potential drug interactions in patients with rheumatoid arthritis. Rev BrasReumatol. 2011;51(1):20-39.
Mota LMH, Cruz BA, Brenol CV, Pereira IA, Rezende-Fronza LS, Bertolo MB, et al. Consenso 2012 da Sociedade Brasileira de Reumatologia para o tratamento da artrite reumatoide. Rev Bras Reumatol. 2012;52(2):135-74.
Putrik, P, Sokka T, Ramiro S, Boonen A. Impact of socioeconomic gradients within and between countries on health of patients with rheumatoid arthritis (RA): lessons from QUEST RA. Best Pract Res Clin Rheumatol. 2012;26(5):705-20.
Alishiri GH, Bayat N, Salimzadeh A, Salari A, Hosseini SM, Rahimzadeh S, et al. Health-related quality of life and disease activity in rheumatoid arthritis. J Res Med Sci. 2011;16(7):897-903.
Cunha VR, Brenol CV, Brenol JCT, Xavier RM. Artrite reumatoide e síndrome metabólica. Rev Bras Reumatol. 2011;51(3):260-8.
Soeiro AM, Haddad M, Almeida MCF, Ruppert AD, Serrano Junior AV. Artrite reumatoide e doença cardiovascular: o que sabemos e o que podemos fazer pelo paciente na atualidade? Rev Port Cardiol. 2012;31(3):225-32.
Panoulas VF, Douglas KMJ, Stavropoulos-Kalinoglou A, Metsios GS, Nightingale P, Kita MD, et al. Longterm exposure to medium-dose glucocorticoid therapy associates with hypertension in patients with rheumatoid arthritis. Rheumatology. 2008;47(1):72-5.
Kim SY, Yoo CG, Lee CT, Chung HS, Kim YW, Han SK, et al. Incidence and risk factors of steroid-induced diabetes in patients with respiratory disease. J Korean Med Sci. 2011;26(2):264-7.
Faselis C, Doumas M, Papademetriou V. Common secondary causes of resistant hypertension and rational for treatment. Int J Hypertens. 2011;2011:236-9.
Campos APR, Silva CM, Castro SS, Graminha CV. Depressão e qualidade de vida em indivíduos com artrite reumatoide e indivíduos com saúde estável: um estudo comparativo. Fisioter Pesqui. 2013;20(4):401-7.
Heiberg T, Kvien TK. Preferences for improved health examined in 1,024 patients with rheumatoid arthritis:Pain has the highest priority. Arthritis Care Res. 2002; 47(4):391-7.
Cho SK, Kim D, Jun JB, Bae SC, Sung YK. Factors influencing quality of life (QOL) for Korean patients with rheumatoid arthritis (RA). Rheumatol Int. 2013;33(1):93-102.
